Gastric Bypass Operation

Magenbypass-Operation

Gastric Bypass Surgery is a surgical method used for the treatment of obesity. This method involves significantly reducing the size of the stomach and reducing absorption in the digestive system. This procedure, also known as stomach reduction surgery, is performed for medical necessity rather than cosmetic purposes.

There are different types of surgical operations that target the stomach (such as gastric bypass, sleeve gastrectomy, gastric banding, etc.). Although they are generally referred to as stomach reduction surgery, each has different objectives. Therefore, it is important not to confuse these operations with each other.

What is Gastric Bypass Operation?

Gastric bypass surgery is a treatment for obese patients who are unable to lose weight through diet and exercise alone. It is used to eliminate the significant risks associated with excessive fat accumulation in obese patients and to improve their quality of life.

During the surgery, not only is the size of the stomach reduced, but the path that food takes through the small intestine is also shortened. This reduces the absorption of consumed food, allowing patients to lose weight more effectively.

As a result of gastric bypass surgery, the size of the stomach is reduced to a very small volume, typically 30-50 cc. Additionally, a portion of the small intestine is bypassed. With the new digestive system in place, patients feel full with smaller portions and the food they consume is not fully absorbed. This leads to a significant reduction in calorie intake.

Gastric bypass surgery is an important surgical procedure. In order to get the desired result from this procedure, an experienced and expert surgeon should be preferred.

Who Can Have Gastric Bypass Surgery?

Gastric bypass surgery is a method used in the treatment of obesity. The primary goal is to eliminate the risks associated with excess weight and to achieve weight loss. Therefore, it is not a procedure performed solely for cosmetic purposes.

This procedure is not suitable for everyone. There are some important conditions that candidates must meet. Details of these conditions are as follows:

  • Having a body mass index of 40 and above (morbid obesity patients)
  • Body mass index is between 35 and 40, as well as the presence of diseases such as type 2 diabetes, hypertension and metabolic disorders.
  • Body mass index is between 30 and 35, serious health problems due to weight

 

Candidates who meet any of the conditions listed here may undergo gastric bypass surgery. However, the decision to perform the surgery is made by the doctors after examining the patients. Since the surgery is performed under general anesthesia, it is very important that candidates do not have any health issues that would interfere with anesthesia and surgery. Although the surgical procedure is performed using laparoscopic techniques, it is still very important that patients do not have any health issues that would prevent them from undergoing this procedure.

Who can not have gastric bypass surgery?

Gastric bypass surgery is a surgical procedure performed for the purpose of weight loss and is typically performed on obese or morbidly obese individuals. This surgery can be considered as an option to maintain weight control and prevent certain health problems. However, this surgery is not suitable for everyone and in some cases should not be performed. For example, gastric bypass surgery should not be performed in the following cases:

  • People with advanced chronic disease, especially those with serious health problems such as heart, lung or kidney failure
  • People with psychological problems and who still need weight loss despite these problems being treated
  • People who experience sudden weight loss after a trauma or stressful event
  • In pregnant women and mothers who are breastfeeding
  • People with alcohol or addictive substance use problems

For these reasons, the health status of the person should be evaluated in detail and necessary precautions should be taken before gastric bypass surgery is performed.

How is Gastric Bypass Operation Performed?

Gastric bypass surgery is performed under general anesthesia and mostly using laparoscopic surgical method. For this method, several incisions ranging from 0.5 cm to 1 cm in size are made in the abdominal area. A camera is sent to the relevant area from one of the incisions, and the surgery is performed in a closed manner based on the images projected onto the screen.

Firstly, surgical staplers are used to limit the size of the stomach and reduce it. This limitation is usually made to be about 30-50 cc (the size of a walnut). Then, a section of the small intestine is bypassed and connected to this new, small pouch that has been created.

The new stomach, which is the size of a walnut, reaches sufficient tension with a small amount of food and enables patients to feel fullness early. By bypassing a portion of the small intestine, most of the starch, carbohydrates, and fats are excreted from the body without being absorbed. Thus, both the amount of food consumed and the amount of calories obtained from them are reduced.

Types of Gastric Bypass Surgery

There are different types of gastric bypass surgery according to the way it is performed. These types and their details are as follows:

  • Roux-en-Y (Proximal)
    It is the most commonly used type of gastric bypass. It draws attention as the option with the least nutritional problems. In this method, the stomach is reduced to the size of a tea cup. A part of the small intestine that goes to the large intestine is cut and connected to the newly formed sac. The small intestine, which is connected to the deactivated part of the stomach, is reconnected approximately 80 cm ahead. Thus, the pancreas and the incoming part of the bile fluid are included in the digestive system again.
  • Roux-en-Y (Proximal)
    It is the most commonly used type of gastric bypass. It draws attention as the option with the least nutritional problems. In this method, the stomach is reduced to the size of a tea cup. A part of the small intestine that goes to the large intestine is cut and connected to the newly formed sac. The small intestine, which is connected to the deactivated part of the stomach, is reconnected approximately 80 cm ahead. Thus, the pancreas and the incoming part of the bile fluid are included in the digestive system again.
  • Roux-en-Y (Distal)
    The small intestine in a healthy person has a length of about 6-10 meters. In this method, the part of the intestine that comes to bile is combined with the intestines 1 meter further. Thus, the absorption of fats and starches is significantly reduced. However, there is a decrease in the absorption of beneficial minerals and vitamins.
    It is possible to lose a significant amount of weight with this method. However, since the absorption of the small intestine is significantly reduced, there is a risk of nutritional problems.
  • Mini Gastric Bypass (Loop)
    Here, the new section created in the stomach is added directly to the small intestine. However, the small intestine is not cut. It is easier to apply than others. However, due to the new system formed, the risk of bile and pancreatic fluids leaking into the stomach increases. As a result, ulceration and inflammation may occur.

Gastric Bypass Surgery Risks and Complications

Bariatrik surgery procedure, gastric bypass, like other major surgeries, carries significant risks of complications. These complications are inherent in any surgical procedure. However, the rate of occurrence and their effects may vary.

The most significant risk associated with gastric bypass surgery is the possibility of patients losing their lives due to complications. Studies have shown that the risk of death ranges between 0.1% and 0.3%. In a study conducted in the United States, the mortality rate was found to be 0% among 401 patients who underwent laparoscopic surgery, while the mortality rate among 955 patients who underwent open surgery was 0.6% (6 out of 1000). Therefore, it can be stated that gastric bypass surgery is a type of surgery with a very low risk of death.

Gastric bypass surgery also has different risks and side effects, which can be listed as follows:

  • Infection
  • Bleeding
  • Abdominal Hernia
  • İntestinal Obstruction
  • Embolism
  • Anastomotic leak (leakage in the part where the stomach is divided)
  • Anastomotic stenosis (narrower division of the stomach than it should be)
  • Dumping syndrome (diarrhea and nausea caused by the rapid passage of consumed food from the stomach)
  • Constipation
  • Low blood sugar

 

Gastric Bypass Operation Advantages and Disadvantages

Gastric bypass operation provides effective treatment of diabetes patients. This method has some advantages as well as some disadvantages. These should be taken into account when making the decision to operate. The advantages of the surgery are as follows:

  • It provides saturation in a shorter time and less absorption of food. Thus, there is no difficulty in losing weight.
  • Eating and drinking comfort is high.
  • It also eliminates these problems of patients with gastric hernia and reflux.
  • There is no liquid feeding period after the surgery.
  • The probability of regaining weight is lower than other bariatric surgery methods.
  • It provides permanent elimination of type 2 diabetes and similar diseases.
  • Since no part of the stomach is permanently removed during the operation, the digestive system can be restored to its original state at any time. So it is a reversible surgery.

For this procedure, which has many important advantages, the surgeon must have serious experience and expertise. Because it is a difficult operation in terms of surgery. In addition, patients who smoke increase the risk of ulcer formation after surgery. Despite these disadvantages, gastric bypass operation is an important treatment method that provides very important gains.

Gastric ByPass Prices 2023

The prices of gastric bypass are closely followed by obese patients. Prices may vary depending on different factors such as the patient’s general condition, the surgical method to be used, and the surgeon’s experience.

This surgery is one of the preferred methods for treating obesity. Its effective results make it the first choice for many patients. However, it should not be forgotten that it may not be a suitable method for every patient.

Gastric Bypass Prices

To get information about gastric bypass prices, you can contact us. After the information given on the phone, you can get detailed information about the price and other details of the procedure after the examination in our clinic.

How much weight should I be to have a gastric bypass surgery?

The weight criteria for a gastric bypass surgery can vary depending on the individual’s overall health and other factors. However, generally individuals who are suitable for a gastric bypass surgery should meet the criteria for morbid obesity. Morbid obesity is defined as having a BMI of 40 or higher, or a BMI of 35 or higher with at least one of the following conditions:

  • Type 2 diabetes
  • Hypertension (high blood pressure)
  • Low-density lipoprotein (LDL) cholesterol levels
  • High-density lipoprotein (HDL) cholesterol levels
  • Sleep apnea

If you are not sure whether you are a suitable candidate for a gastric bypass surgery, you can consult with a doctor or a dietitian for more information. This surgery is a serious surgical procedure and we recommend that you consult with your doctor before making any decisions.

Is gastric bypass dangerous?

Gastric bypass surgery is a serious surgical procedure and like any surgical procedure, it carries some risks. However, it is also a safe and reliable method that generally yields successful results. The risks associated with this surgery can vary depending on the individual’s overall health and other factors. For example, individuals with serious medical conditions may be at higher risk for complications. Therefore, if you are not sure whether gastric bypass surgery is suitable for you, we recommend that you consult with a doctor or a dietitian for more information. Only your doctor can determine whether this surgery is suitable for you.

How much weight can be lost with gastric bypass surgery?

Gastric bypass surgery is a surgical procedure performed for the purpose of weight loss. There can be a significant decrease in a person’s weight as a result of this surgery, but the amount of weight loss can vary from person to person. Therefore, predicting how much weight will be lost after gastric bypass surgery is quite difficult. In addition, the continuity of weight loss after this surgery is dependent on the person’s diet and exercise habits. Therefore, the best way to learn about weight loss after gastric bypass surgery is to consult with your surgeon.

How should people with gastric bypass eat?

A special diet program is recommended for people with gastric bypass surgery. This diet program is designed to accelerate weight loss in the body and provide healthy weight control after surgery, which makes digestion difficult and reduces stomach capacity.

This diet program involves consuming high amounts of protein and limiting carbohydrate and fat intake. Also, it is recommended to consume all foods raw or lightly cooked. It is best to follow a diet program prepared by a special dietitian or doctor.

After this type of surgery, it is important to regularly attend doctor’s appointments because weight loss in the body is accelerated. It is important to follow the advice of the doctor and adhere to a healthy eating program.

How long does gastric bypass surgery take?

Gastric bypass surgery is a surgical procedure used in the treatment of obesity. The duration of this surgery can vary depending on the patient’s condition and the surgeon’s experience. However, this surgery usually takes between 2-5 hours. To learn more, please consult a doctor.

What kind of doctor should I see for gastric bypass?

Gastric bypass surgery is a surgical procedure used in the treatment of obesity. The doctor who will perform this surgery can be a surgeon or a bariatric surgeon. These doctors deal with surgical treatments related to obesity and weight loss. If you want to learn more about this surgery, please consult with a surgeon or bariatric surgeon.

Which department handles gastric bypass?

Gastric bypass surgery is a surgical procedure used in the treatment of obesity. The doctor who will perform this surgery can be a surgeon or a bariatric surgeon. These doctors generally work in surgical departments that deal with surgical treatments related to obesity and weight loss. Therefore, if you want to learn more about this surgery, please consult with a surgeon or bariatric surgeon.

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Op. Dr Mehmet Altuğ Kazak

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Ceyhun A..

Bir arkadaşım kanalı (tavsiyesi) doğrultusunda ulaştım.Mehmet Bey’de Gastrik Bypass ameliyatı oldum. Hem hekimliği hemde insani yaklaşması konusunda benim gibi, inanıyorum ki her hastasının kalbini fethetmiştir.Mehmet Bey’i tanımak bile büyük keyif ben ilgisinden ve bilgisinden dolayı kendisine kefilim sağlıcakla kalın, doktorumda sevgilerimle…

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Deniz TÇ.

Altuğ Hoca çalışkan, disiplinli, titiz ve ilgili bir hekim. Bu yüzden kendisinden çok memnun kaldığımı söyleyebilirim. Hafızası kuvvetli biri olduğu için takip döneminde de yardımcı olmuştu.O yüzden hakkında pozitif bir yorum verebilirim. Tüp mide ve safra kesesiyle ilgili operasyon geçirdim ve bu süreçten oldukça memnun kaldım. Kendisi tekrar söylüyorum, gerçekten disiplinli ve çalışkan bir doktor..

Op. Dr Mehmet Altuğ Kazak

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